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Organization
SKIPPERGOSH THERAPY LICENSED CLINICAL SOCIAL WORKER INC
Active
Organization
SKIPPERGOSH THERAPY LICENSED CLINICAL SOCIAL WORKER INC
Active
Other names
Skippergosh Therapy and Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTYNE SKIPPERGOSH LCSW (CEO)
(616) 340-6820
Entity
Organization
Contact information
Practice address
5252 BALBOA AVE STE 800, SAN DIEGO, CA 92117-6970
(619) 404-0578
Mailing address
7777 WESTSIDE DR APT 445, SAN DIEGO, CA 92108-1240
(616) 340-6820
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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